본문 바로가기
KERD
논문KCI 등재

한국 청소년의 간접흡연 노출과 범불안장애와의 연관성에 관한 연구: 제17차 청소년건강행태온라인조사를 이용하여

Association between Second-hand Smoke and Generalized Anxiety Disorder in Korean Adolescents: Based on the 17th Korea Youth Risk Behavior Survey

이상준|정재연|고상백|신효민|고우림|도경이
한국보건정보통계학회 (The Korean Society of Health informatics statistics)|2022.08|보건정보통계학회지 (Journal of Health Informatics and Statistics)|제47권 제3호|pp. 222-231|DOI 10.21032/jhis.2022.47.3.222

1

조회

0

다운로드

9

인용

0

참고문헌

키워드

AdolescentsKoreaTobacco smoke pollutionAnxiety disorders

초록

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 stu- dents who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi- square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of expo- sure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public aware- ness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

Abstract

Objectives: The purpose of this study was to investigate the association between secondhand smoke exposure at home, school, and public places and Generalized Anxiety Disorder (GAD) among Korean adolescents, and to determine whether the risk of GAD increases as the frequency of exposure to secondhand smoke increases. Methods: This cross-sectional study is based on the 17th Korean Youth Risk Behavior Survey (2021), Out of the 54,848 stu- dents who participated in the survey, 5,975 current smokers were excluded, leaving the final analysis subject as 48,873 non-smokers. Rao-Scott chi- square analysis was done to examine the difference between general characteristics depending on the GAD levels of the subject and to investigate the association between second-hand smoke exposure and GAD. Multivariate logistic regression analysis was performed to investigate the effect of expo- sure to secondhand smoke in adolescents on GAD. Results: With all the confounding factors adjusted (Model IV), the risk of high GAD when exposed to secondhand smoke at home was 1.08 times higher for 1-3 days compared to “none” and 1.17 times higher when exposed to more than 4 days. In public places, the risk increased by 1.10 times and 1.49 times, when exposure was 1-3 days and more than 4 days respectively. At school, the risk increased by 1.34 times when exposed to 1-3 days, and 1.40 times when exposed to more than 4 days. Conclusions: Based on the results of this study, public aware- ness of secondhand smoke should be improved, health policies should be developed to prevent exposure to secondhand smoke among adolescents.

참고문헌 (47)

  1. Oberg M, "Global estimate of the burden of disease from second-hand smoke", pp.71~ (2010), World Health Organization
  2. 진선권, "한국 성인에서 간접흡연노출과 우울증상 간의 상관관계", 생물정신의학, 27(2), pp.101~111 (2020), 대한생물정신의학회[DOI]
  3. "Community health survey"[URL]
  4. "16th Korean Youth Risk Behavior Survey" (2020)[URL]
  5. Lai HK, "Secondhand smoke and respiratory symptoms among adolescent current smokers", Pediatrics, 124(5), pp.1306~1310 (2009)[DOI]
  6. Weitzman M, "Tobacco smoke exposure is associated with the metabolic syndrome in adolescents", Circulation, 112(6), pp.862~869 (2005)[DOI]
  7. Schwartz J, "Secondhand smoke exposure, restless sleep, and sleep duration in adolescents", Sleep Disord, 2014, pp.374732~ (2014)[DOI]
  8. Chen R, "Is exposure to secondhand smoke associated with cognitive parameters of children and adolescents?-a systematic literature review", Ann Epidemiol, 23(10), pp.652~661 (2013)[DOI]
  9. The health consequences of involuntary exposure to tobacco smoke: a report of the surgeon general, "U.S. Department of Health and Human Services", U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, ~ (2006)
  10. Royal College of Physicians of London. Passive smoking and children : a report of the Tobacco Advisory Group of the Royal College of Physicians, "Tobacco Advisory Group", Royal College of Physicians, 197~ (2010)
  11. Kabir Z, "Secondhand smoke exposure and neurobehavioral disorders among children in the United States", Pediatrics, 128(2), pp.263~270 (2011)[DOI]
  12. Bandiera FC, "Secondhand smoke exposure and mental health among children and adolescents", Arch Pediatr Adolesc Med, 165(4), pp.332~338 (2011)[DOI]
  13. Lee KJ, "Current smoking and secondhand smoke exposure and depression among Korean adolescents : analysis of a national cross-sectional survey", BMJ Open, 4(2), pp.e003734~ (2014)[DOI]
  14. Park S, "Associations between household secondhand smoke exposure and health problems among non-smoking adolescents in the Republic of Korea", J Prim Prev, 38(4), pp.385~402 (2017)[DOI]
  15. 권민, "청소년의 간접흡연이 정신건강에 미치는 영향", 한국학교보건학회지, 33(1), pp.10~18 (2020), 한국학교보건학회[DOI]
  16. Kieling C, "Child and adolescent mental health worldwide : evidence for action", Lancet, 378(9801), pp.1515~1525 (2011)[DOI]
  17. 2016 The survey of mental disorders in Korea, "Ministry of Health and Welfare", Ministry of Health and Welfare, 501~ (2017)
  18. 김근향, "범불안장애의 진단과 심리학적 평가", 신경정신의학, 51(1), pp.16~24 (2012), 대한신경정신의학회
  19. Ramsawh HJ, "Association of childhood anxiety disorders and quality of life in a primary care sample", J Dev Behav Pediatr, 37(4), pp.269~276 (2016)[DOI]
  20. Moffitt TE, "Depression and generalized anxiety disorder : cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years", Arch Gen Psychiatry, 64(6), pp.651~660 (2007)[DOI]
  21. Ranta K, "Social phobia in Finnish general adolescent population : prevalence, comorbidity, individual and family correlates, and service use", Depress Anxiety, 26(6), pp.528~536 (2009)[DOI]
  22. Wittchen HU, "Disabilities and quality of life in pure and comorbid generalized anxiety disorder and major depression in a national survey", Int Clin Psychopharmacol, 15(6), pp.319~328 (2000)[DOI]
  23. Moylan S, "Cigarette smoking, nicotine dependence and anxiety disorders : a systematic review of populationbased, epidemiological studies", BMC Med, 10, pp.123~ (2012)[DOI]
  24. 임수진, "한국 청소년의 범불안장애 관련 요인", 대한보건연구, 47(4), pp.197~208 (2021), 사단법인 대한보건협회[DOI]
  25. "17th Korean Youth Risk Behavior Survey" (2021)[URL]
  26. Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166(10), pp.1092~1097 (2006)[DOI]
  27. Seo JG, "Validation of the Generalized Anxiety Disorder-7(GAD-7)and GAD-2 in patients with migraine", J Headache Pain, 16, pp.97~ (2015)[DOI]
  28. Seo JG, "Validation of the Generalized Anxiety Disorder-7 in people with epilepsy : a MEPSY study", Epilepsy Behav, 35, pp.59~63 (2014)[DOI]
  29. Byrd-Bredbenner C, "GAD-7, GAD-2, and GAD-mini : psychometric properties and norms of university students in the United States", Gen Hosp Psychiatry, 69, pp.61~66 (2021)[DOI]
  30. DeMartini J, "Generalized anxiety disorder", Ann Intern Med, 170(7), pp.ITC49~ITC64 (2019)[DOI]
  31. Plummer F, "Screening for anxiety disorders with the GAD-7 and GAD-2 : a systematic review and diagnostic meta-analysis", Gen Hosp Psychiatry, 39, pp.24~31 (2016)[DOI]
  32. 김환철, "Association between second-hand smoke and psychological well-being amongst nonsmoking wageworkers in Republic of Korea", Annals of Occupational and Environmental Medicine, 28(3), pp.1~9 (2016), 대한직업환경의학회[DOI]
  33. 강문희, "대학신입생의 스마트폰 중독에 미치는 영향요인", 한국콘텐츠학회 논문지, 20(10), pp.488~495 (2020), 한국콘텐츠학회[DOI]
  34. Patriquin MA, "The neurobiological mechanisms of generalized anxiety disorder and chronic stress", Chronic Stress(Thousand Oaks), 1, pp.2470547017703993~ (2017)[DOI]
  35. Blanco C, "Risk factors for anxiety disorders : common and specific effects in a national sample", Depress Anxiety, 31(9), pp.756~764 (2014)[DOI]
  36. Khorasanchi Z, "Passive smoking is associated with cognitive and emotional impairment in adolescent girls", J Gen Psychol, 146(1), pp.68~78 (2019)[DOI]
  37. Choi JH, "Adolescents’ mental health and its relationship with health behaviors", Health Soc Welf Rev, 2017(3), pp.72~83 (2017)[DOI]
  38. Garcia-Carrion R, "Children and adolescents mental health : a systematic review of interaction-based interventions in schools and communities", Front Psychol, 10, pp.918~ (2019)[DOI]
  39. 김보영, "청소년 자살생각 관련변인에 관한 메타분석", Journal of Korean Academy of Nursing, 39(5), pp.651~661 (2009), 한국간호과학회
  40. Koet LB, "Anxiety problems in children and adolescents : a population-based cohort study on incidence and management in Dutch primary care", Br J Gen Pract, 72(719), pp.e405~e412 (2022)[DOI]
  41. 권희경, "사회적 바람직성 편향이 자기보고식 측정에 미치는 영향", 한국청소년연구, 31(4), pp.251~282 (2020), 한국청소년정책연구원[DOI]
  42. Hamer M, "Objectively assessed secondhand smoke exposure and mental health in adults : cross-sectional and prospective evidence from the Scottish Health Survey", Arch Gen Psychiatry, 67(8), pp.850~855 (2010)[DOI]
  43. Hamer M, "Objectively measured secondhand smoke exposure and mental health in children : evidence from the Scottish Health Survey", Arch Pediatr Adolesc Med, 165(4), pp.326~331 (2011)[DOI]
  44. Padron A, "Exposure to secondhand smoke in the home and mental health in children : a population-based study", Tob Control, 25(3), pp.307~312 (2016)[DOI]
  45. Li S, "Chronic nicotine and smoking treatment increases dopamine transporter mRNA expression in the rat midbrain", Neurosci Lett, 363(1), pp.29~32 (2004)[DOI]
  46. Li SP, "Chronic nicotine and smoke treatment modulate dopaminergic activities in ventral tegmental area and nucleus accumbens and the gamma-aminobutyric acid type B receptor expression of the rat prefrontal cortex", J Neurosci Res, 78(6), pp.868~879 (2004)[DOI]
  47. 김수정, "주의 피드백 인식 및 조절 훈련이 대학생의 주의편향 및 범불안에 미치는 효과", 한국심리학회지:학교, 16(2), pp.207~230 (2019), 한국심리학회산하학교심리학회[DOI]

관련 논문AI추천

Association Between Sleep Quality and Anxiety in Korean Adolescents박은철, 장성인, Hyunkyu Kim, Seung Hoon Kim대한예방의학회 · 예방의학회지2022 · 제55권 제2호Association between Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Generalized Anxiety Disorder Based on Data from the 8th Korea National Health and Nutrition Examination Survey 2021An-Na Lee, Do-Hoon Kim, Hangseok Choi, Hyun-Jin Kim, Jaesun Ha, Joo-Hyun Park, Junghwa Shin, Sungkwon Cho, Youngdoo Park대한가정의학회 · Korean Journal of Family Medicine2024 · 제45권 제6호청소년의 신체활동 정도와 범불안장애와의 연관성박성태뇌·AI기반교육연구소 · Brain, Digital, & Learning2024 · 제14권 제3호한국 성인에서 흡연과 범불안장애와의 연관성: 국민건강영양조사 자료를 이용하여김경범, 유희종, 이경환, 장세헌, 제영묘대한생물치료정신의학회 · 생물치료정신의학2024 · 제30권 제2호비흡연자 성인 여성의 간접흡연 노출과 정신건강과의 관련성: 국민건강영양조사 2019년 자료를 중심으로김소영, 최미진, 최선주보건의료산업학회 · 보건의료산업학회지2021 · 제15권 제3호정신건강이 청소년 흡연 및 음주행위에 미치는 영향 - 성별 차이를 중심으로 -김유림, 이정원보건의료산업학회 · 보건의료산업학회지2022 · 제16권 제4호

이 간행물의 다른 논문 (5건)

일 상급종합병원 심부전환자의 재입원 관련 요인한수영, 박성혜, 오의금, 김영아, 이주희, 장연수pp. 191-198청소년의 건강행위 실천이 정신건강에 미치는 영향윤현정pp. 199-208요부안정화 운동프로그램이 중환자실 간호사의 요통, 요통장애지수, 신체역학이용 및 배근력에 미치는 효과박혜자, 장해미pp. 209-216기계학습방법을 이용한 순서형 결측자료 대체의 성능비교손세림, 안형진pp. 217-221코로나바이러스감염증-19 유행 중 치과 진료실 내 감염관리 수행도 관련 요인박상신, 주수연, 신형호pp. 232-238
원문 보기